How much does care with Dr. McDade cost?
Time to talk. A physician who knows you. A plan for moving forward.
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First evaluation
$465
Dedicated time with Dr. McDade to discuss your concerns, review your history, consider treatment options, and develop next steps together.
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Follow-up visit
$275
Continued care with the same physician, reviewing progress and adjusting the plan as appropriate.
Your peace is worth it.
Take the first step toward feeling more like yourself.
For you or someone you love, start with the time and attention your story deserves.
Choose a time online. A brief screening confirms whether the practice fits your needs.
What does a private-pay psychiatrist cost in Houston?
The answer
With Dr. McDade, a first evaluation is $465, and each follow-up visit is $275. Care is private pay, also called self-pay, cash pay, or direct pay. You pay the practice at each visit, and it does not take insurance. Dr. McDade is double board certified by the American Board of Psychiatry and Neurology in psychiatry and in child and adolescent psychiatry. She sees patients in Houston and across Texas by secure video. Every visit is with her, at a rate set in advance.
The booking page shows the same fees and how payment works, and the Good Faith Estimate page explains your right to an estimate.
If you need help now
If you are in crisis or thinking about suicide, call or text 988 or chat at 988lifeline.org to reach the 988 Suicide and Crisis Lifeline. If you are Deaf or hard of hearing, use your preferred relay service or dial 711, then 988. In an emergency, call 911 or go to the nearest emergency room. This practice does not provide emergency services.
Why is care designed this way?
Dr. McDade has shaped her practice so that her time goes toward her patients.
How your care is set up
- First visits of 60 to 90 minutes. Room to explain what has been happening.
- Dr. McDade at every visit. Your history carries into future decisions.
- Secure video. Care fits into your day without a commute.
- Coordination with your clinicians, with consent. Your care can connect across providers.
At every appointment, Dr. McDade explains her recommendations and why she is making them, and she gives you room to ask questions and take part in decisions about your care. When you return, she already knows your story, your history, and the treatments you have tried.
Harmony through expertise and connected communication.
What do your fees include?
Your fees pay for your time with Dr. McDade, and a few parts of your care come with them.
- 01Your first evaluation
How it works60 to 90 minutes with Dr. McDade, by secure videoWhat it costs$465
- 02Each follow-up
How it works15 to 30 minutes with Dr. McDade, by secure videoWhat it costs$275
- 03Help with a prescription approval
How it worksWhen your plan must approve a prescription, she handles itWhat it costsPart of her standard fees
- 04A good faith estimate
How it worksIn writing, before your first visitWhat it costsIncluded
Your health plan's rules still apply when you're filling a prescription. Some prescriptions will need approval first. When a prescription requires prior authorization, Dr. McDade handles this as part of her standard fees. Whether that means contacting your insurance company, submitting medical records, or completing a peer-to-peer review, she takes the additional steps needed to advocate for your treatment.
What you can also expect
- A patient portal to message Dr. McDade, view your records, and schedule follow-ups
- Coordination with your other clinicians, once you sign a release
- A superbill when you ask, to send to your plan if it offers out-of-network mental health benefits
How do you start care with Dr. McDade?
Dr. McDade believes a thorough first evaluation is the cornerstone of quality mental health care, so your first visit has room for your whole story.
Here is each step, from choosing a time to your first follow-up.
- 01
Online or phone
You reach out
Book on the booking page, or call 832.387.6088.
- 02
Before the visit
A brief screening
A brief screening first confirms that telepsychiatry fits your needs.
- 03
Patient portal
Intake in the portal
You'll complete a few intake forms in the patient portal, then meet with Dr. McDade for a full evaluation.
- 04
Unhurried
Your first evaluation
Dr. McDade hears your story and reviews your history and your health, over 60 to 90 minutes. Understanding relies on context, and some stories need more time.
- 05
Collaborative
A plan built with you
You and Dr. McDade discuss each option in depth. When therapy is the better starting point, she refers to therapists she knows well.
- 06
Steady
Follow-up with Dr. McDade
Follow-up visits run 15 to 30 minutes by secure video.
The psychiatric evaluation page explains what the first visit covers, and the telepsychiatry page explains how video visits work.
A parent or guardian books for anyone under 18, and the child and adolescent psychiatry page explains how visits for children and teens work.
Questions about fees and payment
Does Dr. McDade take insurance?
No. Care is private pay, with rates set in advance and shared up front. You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
When do I pay for a visit?
Fees are due at the time of your visit, and you can pay with a major credit card. Checks aren't accepted, and a card stays on file to cover no-shows and late cancellations.
Can I use my HSA or FSA card?
Yes. You can pay with a card from a health savings account (HSA) or a flexible spending account (FSA). The Internal Revenue Service lists psychiatric care as a medical expense in Publication 502, and your HSA or FSA provider can tell you what your account covers.
How often are follow-up visits?
In Dr. McDade's practice, follow-up visits usually run about 30 minutes and are typically monthly. How often you meet follows the plan you build together, and each follow-up is $275.
Are there other fees besides visits?
A few policies carry their own fees, each set in advance. A first evaluation not cancelled at least 24 hours ahead is $200, a follow-up cancelled within 24 hours is $100, and a refill requested outside a scheduled visit is $25 for a controlled substance or $15 for a regular medication. A longer form completed outside your visit is $125 per 15 minutes, and if more than 8 months pass between visits, the next one is booked as a new evaluation at $465.
What is your cancellation policy?
Please give at least 24 hours notice to cancel or reschedule a visit, so that time can be offered to another patient who needs it. A first evaluation not cancelled at least 24 hours ahead carries a $200 fee, and it can be rescheduled once the fee is paid in full. A follow-up cancelled within 24 hours carries a $100 fee. Documented emergencies are handled case by case, at Dr. McDade's discretion.
Sources for the facts on this page.
- Publication 502 (2025), Medical and Dental Expenses, Internal Revenue Service, for 2025 returns
This page explains private-pay costs in general terms and is not legal, tax, or insurance advice.
The information on this website is for general education and does not constitute medical advice or create a physician-patient relationship. For care, please schedule an appointment.
Take the first step toward feeling more like yourself.
For you or someone you love, start with the time and attention your story deserves.
Choose a time online. A brief screening confirms whether the practice fits your needs.
Health & Harmony Psychiatry does not provide emergency care. If you are in crisis or thinking about harming yourself, call or text 988, or call 911. Ages 6 to 70. Health & Harmony Psychiatry provides care by secure video to patients physically located in Texas at the time of their appointment.